Peter Destefano, THERAPIST - Counselor in Southampton, NJ

Peter Destefano, THERAPIST is a Counselor - Addiction (substance Use Disorder) based in Southampton, New Jersey. Peter Destefano is licensed to practice in New Jersey (license number 37LC00377900) and his current practice location is 13 Heather Pl, Southampton, New Jersey. He can be reached at his office (for appointments etc.) via phone at (640) 223-5172.

NPI number for Peter Destefano is 1033089446 and his current mailing address is 13 Heather Pl, Southampton, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033089446.

Contact Information

Peter Destefano, THERAPIST
13 Heather Pl,
Southampton, NJ 08088-1115
(640) 223-5172
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePeter Destefano
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location13 Heather Pl, Southampton, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033089446
  • Provider Enumeration Date: 11/10/2025
  • Last Update Date: 11/10/2025

Medical Identifiers

Medical identifiers for Peter Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033089446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 37LC00377900 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peter Destefano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peter Destefano, THERAPIST
13 Heather Pl,
Southampton, NJ 08088-1115

Ph: () -
Peter Destefano, THERAPIST
13 Heather Pl,
Southampton, NJ 08088-1115

Ph: (640) 223-5172

Reviews and Comments


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